Florence Nightingale journal of nursing最新文献

Although the burden of caregiving is universal among people caring for advanced cancer patients, the perception of burden and the impact on individuals vary according to the society in which patients and caregivers are located. The characteristics of caregivers and the dimensions of burden they experience are influenced by the structure of each society. Therefore, the burden of caregivers is shaped by the situation in each country and its cultural perspective. Reducing the burden on caregivers and supporting individuals can make the patients they care for feel better. For this reason, caregivers should receive social, psychological, and economic support from society, the government, and their families, and efforts should be made to reduce the burden of caregiver assistance. To protect and improve the health of caregivers, health personnel should provide training on effective caregiving methods based on the needs of caregivers. It is especially important to support the patient's family members when the patient is in the terminal phase and to prepare them for the grieving process. The aim of this study is to better understand the level of caregiver burden and to guide researchers by providing a cross-cultural perspective.

Aim: This study was conducted with the aim of assessing the needs and determining the care dimensions of the essential palliative care service package for the elderly with Alzheimer's disease.

Method: The mixed exploratory study was conducted in three phases. The first phase of the study was conducted in the form of a qualitative study and a literature review. This qualitative research was done through in-depth and semi-structured interviews with 19 qualified caregivers (11 informal caregivers and 8 formal caregivers) The samples were selected using the purposive sampling method by referring to hospitals, nursing homes, and active branches of the Alzheimer's Association in some provinces. In the second phase, the dimensions of palliative care were codified, and in the third phase, the prioritization and the validation of the dimensions of palliative care were performed in the form of two Delphi rounds.

Results: Based on the results of the first phase of the study, the care dimensions of the service package were placed in eight categories based on National Consensus Project. In the second phase, the needs of Alzheimer's patients were arranged in the form of a questionnaire consisting of 8 parts, with 180 indicators. Then, in the third phase, the dimensions of the palliative care essential package were designed with 74 items in the form of 4 dimensions.

Conclusion: The dimensions of the essential service package of palliative care included a series of interventions as well as physical, psychological, cognitive, and spiritual support.

Aim: The aim of this study was to test the psychometric properties of the Turkish version of the Patient Education Materials Assessment Tool METHODS: The study was carried out with intern nurses receiving education at a Nursing Faculty in Turkey between July 2019 and June 2020. 248 intern nurses participated in PEMAT-P and 223 in PEMAT-A/V in this study. Five audio-visual and five printed materials were used. The Patient Education Materials Assessment Tool and the Patient Education Materials Assessment Tool User's Guide were translated into Turkish and culturally adapted using standard guidelines. Content and construct validity analyses were performed for the validity of the Turkish version of the Patient Education Materials Assessment Tool, and internal consistency, invariability, and external consistency analyses were performed for its reliability.

Results: The content validity index was 1.00 for all the scale items. At the conclusion of the factor analyses, the scale has composed a twodimension construct of understandability and actionability. The Cronbach's alpha coefficients were observed to be 0.901 of the Turkish version of the Patient Education Materials Assessment Tool for Printable Materials and 0.897 of the Turkish version of the Patient Education Materials Assessment Tool for Audiovisual Materials. The Pearson Product-Moment Correlation Coefficient (rxy) was high (Turkish version of the Patient Education Materials Assessment Tool for Printable Materials rxy=0.815, Turkish version of the Patient Education Materials Assessment Tool for Audiovisual Materials rxy=0.804). Cohen's kappa coefficients were obtained as 0.736 of the Turkish version of the Patient Education Materials Assessment Tool for Printable Materials and 0.781 of the Turkish version of the Patient Education Materials Assessment Tool for Audiovisual Materials.

Conclusion: The Turkish version of the Patient Education Materials Assessment Tool is a valid and reliable measurement tool in the evaluation of both printed and audiovisual patient education materials.

Aim: To investigate the level of burnout and resilience, and the associated factors when the coronavirus disease 2019 infection hit a peak in the community in Sichuan, China.

Method: This was a descriptive cross-sectional design study. Data were collected from 25 to 31 December 2022, at six hospitals in Sichuan province. Using convenience sampling, a total of 717 participants were recruited, using the revised version of the Maslach Burnout InventoryGeneral Survey, and the Resilience Assessment Scale for healthcare workers.

Results: More than half of nurses reported a moderate level of emotional exhaustion (66.50%, n = 484), cynicism (68.20%, n = 489), and personal accomplishment (68.76%, n = 493); nearly one-third and one-fourth of nurses experienced a high level of emotional exhaustion (27.48%, n = 197) and cynicism (20.78%, n = 149), respectively. In resilience, the highest scoring dimension was interpersonal connectedness, followed by decisional coping, flexible self-adaptation, and rational thinking. Satisfaction with work income, patient-nurse conflict, frequency of overtime work, age, and marital status were significant factors influencing burnout among nurses (p < .05).

Conclusion: The findings of the study enlighten nursing administrators on the level of burnout and resilience and associated factors among nurses during the peak of coronavirus disease 2019 infection in China. This would be of immense help in planning a welfare program to support the nurses.

Aim: This study aimed to examine the relationship between internalized stigma and happiness levels of individuals diagnosed with schizophrenia.

Method: This cross-sectional study was conducted between March and June 2021 with 100 individuals diagnosed with schizophrenia conducted in a Community Mental Health Centre in the Eastern Black Sea region of Turkey. Data were collected using Internalized Stigma of Mental Illness and the Oxford Happiness Questionnaire.

Results: A negative statistically significant relationship was determined between the Internalized Stigma of Mental Illness and Oxford Happiness Questionnaire. In addition, there was a positive correlation between the stigma resistance subdimension of the Internalized Stigma of Mental Illness and Oxford Happiness Questionnaire. The internalized stigma levels of the participating patients accounted for 35.1% of their happiness levels. The stigma resistance subdimension of the Internalized Stigma of Mental Illness scale affected the patients' happiness levels.

Conclusion: There was a negative significant relationship between the individuals' internalized stigma and happiness levels. More comprehensive interventions are needed to combat the stigma of mental disorders in Türkiye so that individuals diagnosed with schizophrenia can lead a happy life in society.

Aim: The study aimed to analyze students' approach to evidence-based practice and evaluate the effect of teaching (based on lessons in statistics, epidemiology, evidence-based nursing, bioengineering, English language) and internship experiences on the attitude of nursing students to evidence-based practice.

Method: In 2019,one hundred nineteen second-year nursing students from an Italian university were involved in a pre-post longitudinal study. The Italian version of the Student-Evidence Based Practice Questionnaire was administered to nursing student in four moments of one academic year.

Results: The Student-Evidence Based Practice Questionnaire showed different mean scores based on the four moments of the survey with a significant increase after the experience of planning clinical cases with an online simulation system. In particular, the aptitude subscale does not have significant improvements in the various phases of the study. Conversely, the support of the clinical tutor affects student performance. The didactic module on evidence-based nursing develops the ability to assess the quality of the information found and its sharing. Basic English proficiency is not significantly correlated.

Conclusion: To develop evidence-based practice knowledge, aptitude, and skills in nursing students, it is necessary to strengthen the learning opportunities both in classroom lessons and in simulation and internship experiences.

Aim: This study aimed to evaluate the agreement between epigastric auscultation and pH measurement in the confirmation of nasoenteral tube placement.

Method: A cross-sectional study carried out in a medium-sized private hospital in the interior of the state of São Paulo. Forty-nine patients who were submitted to ninety insertion procedures and confirmation of tube placement. aimed at evaluating the agreement of clinical methods used by nurses to confirm the positioning of a nasoenteral tube inserted blindly at the bedside, by measuring the parameters of sensitivity, specificity, positive predictive value, and negative predictive value.

Results: The epigastric auscultation was the method that presented the highest sensitivity (100.0%), but lower specificity (2.0%). The measurement of the pH presented lower sensitivity (63.0%) than the auscultation, however, higher specificity (58%). Moreover, the positive predictive value of the pH measurement was 55% and the negative predictive value was 66%. There was no agreement between the epigastric auscultation and the pH measurement with the radiography.

Conclusion: The pH measurement did not allow for distinguishing between gastric and enteric positioning, due to the similarity of the esophageal and pulmonary pH with the pH of the intestine. Furthermore, external factors such as the use of medication and reduced fasting time may interfere with the pH value.

Aim: The aim of this study is to evaluate highly touched clinical surfaces using visual inspection methods and adenosine triphosphate by bioluminescence to identify soiling in intensive care units.

Method: Descriptive, cross-sectional study carried out in three intensive care units located in Belo Horizonte, MG, Brazil. Data collection included 142 assessments of environmental surfaces. For data analysis, the Pareto diagram and descriptive statistics were used through measures of central tendency.

Results: The visual inspection identified dirtiness in the infusion pump, alcohol dispenser, and telephone. The surface that showed a high level of contamination by organic matter identified by the adenosine triphosphate bioluminescence test was the telephone, with a median of 1012 RLU/cm2 (±348.8).

Conclusion: The surface evaluation methods used in the intensive care units made it possible to identify dirt on surfaces highly touched by hands, reinforcing the need for investments in training and audits in the process of cleaning and disinfecting surfaces.

Aim: The purpose of this study is to determine the emotional intelligence levels of nurse managers and the factors associated with these levels.

Method: In this systematic review and meta-analysis, searches were made on the PubMed, EMBASE (OVID), CINAHL (EBSCO), Web of Science, Ulusal Tez Merkezi, Türk Medline, and DergiPark search engines between December 7, 2020, and January 30, 2021, using the key phrases "nurse AND ("manager" OR "nurse manager" OR "administration") AND "emotional intelligence." In this study, the publications were reviewed in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guide checklist.

Results: The emotional intelligence levels of nurse managers are affected by some personal and institutional factors. Emotional intelligence is important in nurse managers. This study included 21 cross-sectional studies published between 2010 and 2020. In this study, it was concluded that the mean synthesized emotional intelligence level of nurse managers was 105.734±8.826, 18 variables about nurse managers and 2 variables about institutions/employees increased emotional intelligence levels, 2 variables about nurse managers and one variable about institutions/ employees reduced emotional intelligence levels, and 14 variables about nurse managers and 5 variables about institutions/employees did not affect emotional intelligence levels.

Conclusion: In this study, it was established that the emotional intelligence levels of nurse managers are influenced by several individual, institutional, and employee-related variables. By considering these variables in the selection of nurse managers, the improvement of their individual success levels, and the evaluation of these levels, the quality and cost-effectiveness of health services can be improved.